A nurse is performing a dietary assessment for a client. Which of the following questions should the nurse ask when assessing the client's dietary acculturation?
"What questions do you have about reading food labels?”
"Do you have special customs that you follow for meals?”
"Are there any foods that you are allergic to?"
"How do you feel about your current body weight”
The Correct Answer is B
Rationale:
A. "What questions do you have about reading food labels?": This question assesses nutrition literacy rather than dietary acculturation. It focuses on understanding nutritional information, not cultural food practices or adaptations.
B. "Do you have special customs that you follow for meals?": This question directly addresses dietary acculturation by exploring cultural or traditional food practices and meal patterns. It helps the nurse understand how the client’s cultural background influences their diet and eating behaviors.
C. "Are there any foods that you are allergic to?": This question assesses food safety and potential allergens, not cultural or acculturation aspects of the diet.
D. "How do you feel about your current body weight?": This question addresses body image and personal perception, which may influence dietary choices but does not provide information about cultural or acculturation influences on diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Contraction intensity increased by ambulation: True labor contractions typically intensify with walking or activity, as the uterus works to dilate and efface the cervix. If contractions strengthen with movement, it suggests active labor rather than false labor.
B. Presence of bloody show: Bloody show indicates cervical changes with effacement and dilation, which are signs of true labor. Its presence helps differentiate true labor from false labor.
C. Slow change in dilation and effacement: True labor is characterized by progressive cervical change. Slow or minimal change in dilation and effacement is more consistent with false labor, but the primary hallmark is the nature of contractions.
D. Intermittent, painless contractions: False labor (Braxton Hicks contractions) is usually irregular, intermittent, and painless or minimally uncomfortable. They do not cause consistent cervical change and often subside with rest or position changes, making this a key distinguishing feature.
Correct Answer is ["B","C","E"]
Explanation
Rationale:
A. Anemia: While anemia affects oxygen delivery and overall health, it is not a direct risk factor for neonatal hypoglycemia. Anemia does not significantly impact the infant’s glucose regulation immediately after birth.
B. Prematurity: Premature infants have limited glycogen stores, immature liver function, and underdeveloped metabolic pathways, making them more prone to hypoglycemia. Their ability to maintain normal blood glucose levels is compromised, increasing the risk of low glucose after birth.
C. Maternal diabetes: Infants born to mothers with diabetes are exposed to high glucose levels in utero, which stimulates fetal insulin production. After birth, this hyperinsulinemia can lead to rapid drops in blood glucose, placing the newborn at high risk for hypoglycemia.
D. Thrombocytopenia: Low platelet count affects coagulation but does not directly influence glucose metabolism or the risk of hypoglycemia in newborns. While it is a clinical concern, it is unrelated to neonatal glucose regulation.
E. Hypothermia: Cold stress increases metabolic demands and glucose utilization in newborns. Hypothermia can accelerate depletion of glycogen stores and impair gluconeogenesis, making it a significant risk factor for hypoglycemia in the neonatal period.
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